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[全口或大部分牙齿缺失患者的口腔修复治疗新前沿]

[New frontiers in the prosthodontic management of patients with loss of all or most of their teeth].

作者信息

Hofmann M

机构信息

Poliklinik für Zahnarztliche Prothetik, Universität Erlangen-Nürnberg.

出版信息

Dtsch Zahnarztl Z. 1990 Sep;45(9):525-37.

PMID:2269188
Abstract

In view of the increasing life expectancy and the growing number of older people, the conservation of denture bearing tissue will become an essential task in the treatment of edentulous patients. According to a clinical survey it could be proved that about 60% of the female and 40% of the male complete denture wearers had a high degree of bone loss of the lower jaw. The standard factors of function are described, particularly emphasizing the importance of muscular denture stabilization, jaw relation and mode of occlusion. The conservation of remaining single-posted teeth is necessary, not only for psychical reasons, but also with regard to support and function of the dentures. The biomechanical principles of design and approved denture constructions are illustrated. In order to ensure long-term denture function and care for the bearing tissue, it is mandatory that excellent oral hygiene, proper denture care, and periodical recalls, at intervals of 1 year at most, be maintained.

摘要

鉴于预期寿命的增加和老年人数量的不断增长,保存义齿承托组织将成为无牙颌患者治疗中的一项重要任务。根据一项临床调查,可以证明约60%的女性和40%的男性全口义齿佩戴者下颌骨有高度骨吸收。描述了功能的标准因素,特别强调了肌肉对义齿的稳定作用、颌关系和咬合方式的重要性。保留剩余的单根牙是必要的,这不仅出于心理原因,也关乎义齿的支持和功能。阐述了义齿设计的生物力学原理及认可的义齿结构。为确保义齿的长期功能并照顾承托组织,必须保持良好的口腔卫生、正确的义齿护理,并最多每隔1年进行定期复诊。

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